Active NPI
Cassey Amburn
- Professional Counselor
- Dallas, TX
National Provider Identifier
1952037509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 84045
- Practice address
- 4054 McKinney Ave Ste 102
Dallas, TX 75204-2050 - Phone
- (903) 242-8331
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84045 | TX | Primary |
Addresses
Primary practice location
4054 McKinney Ave Ste 102
Dallas, TX 75204-2050
Mailing address
130 N Collins Rd
Sunnyvale, TX 75182-9517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84045 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health PC | Current | Accepting new patients | |
| Mindful Health of Texas, PA | Current | Accepting new patients |
Locations
406 N Goliad St
Rockwall, TX 75087
Phone (972) 346-1885
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockwall, TX
- NPI 1295404507
-
- Clinic/Center
- Rockwall, TX
- NPI 1710607841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1952037509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N COLLINS RD",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751829517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4054 MCKINNEY AVE STE 102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042050",
"telephone_number": "903-242-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBURN",
"first_name": "CASSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.